| NPI | 1043394315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN WARDLAW Chief Executive Officer 803-531-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: SC 50001789) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-01-15 |